Individual provider Active NPI

Kelly E. Lee, P.T.

  • Physical Therapist
  • Columbus, IN
National Provider Identifier
1295932630
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007158A Issued in IN
Practice address
980 Creekview Dr Ste B
Columbus, IN 47201-6600
Phone
(812) 372-7023
Fax
(812) 372-7027
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007158A IN Primary

Addresses

Primary practice location

980 Creekview Dr Ste B
Columbus, IN 47201-6600

Mailing address

980 Creekview Dr Ste B
Columbus, IN 47201-6600
Phone (812) 372-7023

Other identifiers 1

IdentifierTypeStateIssuer
000000321867OtherINANTHEM PROVIDER NUMBER

Other names 1

  • Kelly E. Leap Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001921 IN Practitioner - Physical Therapist in Private Practice 2163812264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1273 N Emerson Ave
Suite E
Greenwood, IN 46143-6673
Phone (317) 807-0770

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Inc CurrentSince Nov 12, 2021 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 376-9353

745 Schnier St
Columbus, IN 47201
Phone (812) 376-9353

1273 N Emerson Ave
Ste E
Greenwood, IN 46143
Phone (317) 807-0770

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295932630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CREEKVIEW DR STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016600",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 CREEKVIEW DR STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016600",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELLY",
        "middle_name": "E.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007158A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000321867",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LEAP",
            "middle_name": "E.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.